Wrestling is considered one of the most physically demanding sports among high school and college athletics and, as such, has a proportionate number of injuries. Strength and endurance is paramount to successful performance. The wrestler needs to have not only strength and endurance, but also technical skill to be successful. Weight control and weight loss distinguish it from most other sports at the high school and collegiate levels. In addition to musculoskeletal problems, medical conditions and diseases impact the ability if the wrestler is to safely participate in this demanding but rewarding sport.